Individual
JULIE M GRAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
306 S PLEASANT AVE, RIDGEWOOD, NJ 07450-5334
(201) 445-3415
Mailing address
306 S PLEASANT AVE, RIDGEWOOD, NJ 07450-5334
(201) 445-3415
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F11180945
NJ
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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